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Organization

VINTAGE PARK APARTMENTS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM HENDERSON (PRESIDENT)
(641) 336-2395
Entity
Organization

Contact information

Practice address
810 E VAN BUREN ST, LENOX, IA 50851-1622
(641) 333-2233
(641) 333-2237
Mailing address
810 E VAN BUREN ST, LENOX, IA 50851-1622
(641) 333-2233
(641) 333-2237

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0179
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0414961
IA
01
S0179
ASSISTEDLIVINGCERTIFICATE
IA
Enumeration date
04/19/2007
Last updated
08/22/2020
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